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Causal risk models of air transport - NLR-ATSI

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insurance market is strongly influenced by ‘spillover’ from the general insurance market,<br />

the financial markets and overall economy [Swiss Re 1996]. This may have a much bigger<br />

impact than the (expected) crash <strong>risk</strong> and would thus limit the usebility <strong>of</strong> a causal <strong>risk</strong><br />

model.<br />

Airlines monitor safety performance <strong>of</strong> the fleet by routinely analysing in-flight recorded<br />

data and checking parameter values for crossings <strong>of</strong> pre-defined threshold values.<br />

Individual threshold crossings are analysed to determine exactly what happened (see also<br />

section 8.5.4). In addition to this flight data program, most <strong>air</strong>lines also have a system in<br />

place for the flight crew to report abnormal situations. This information is usually in a freetext<br />

format. The combination <strong>of</strong> flight data and crew reports provide the <strong>air</strong>line with a good<br />

picture <strong>of</strong> individual incidents, but as <strong>of</strong> yet a tool that allows analysis on a more generic<br />

level does not exist. At best <strong>air</strong>lines do some sort <strong>of</strong> trend analysis. A causal <strong>risk</strong> model<br />

would be very valuable to <strong>air</strong>lines if it could support providing an overall safety picture<br />

and, most importantly, show <strong>air</strong>line management the influence <strong>of</strong> their decisions on the<br />

level <strong>of</strong> safety. It is therefore required that a causal <strong>risk</strong> model links-up with the primary<br />

safety data information systems: flight data and safety reports.<br />

A challenge for <strong>air</strong>lines is to maintain current (safety) standards in a changing world. When<br />

such changes are local and threaten to influence the ‘level playing field’ (see section 4.3.6)<br />

or their competitiveness, <strong>air</strong>line management will be keen on taking proper<br />

countermeasures to ensure pr<strong>of</strong>itability <strong>of</strong> the company. When locally imposed safety<br />

measures threaten the level playing field, the reaction will be to resist them until and unless<br />

all others are required to implement them also. Competitiveness is the driving factor. A<br />

causal <strong>risk</strong> model could play a role in analysing future changes, estimating their effect on<br />

safety and providing information that allows selection <strong>of</strong> proper countermeasures. For<br />

<strong>air</strong>lines therefore the ability to perform cost benefit analysis <strong>of</strong> proposed future changes<br />

would be a desirable feature for a causal <strong>risk</strong> model. This implies also the need for a model<br />

in which the way that future changes in how functions are operationalised can be<br />

incorporated. Because <strong>of</strong> the low accident frequency, a causal <strong>risk</strong> model for <strong>air</strong>lines should<br />

be based on safety indicators other than the accident rate.<br />

4.3.2. Rep<strong>air</strong> stations<br />

Maintenance technicians consider <strong>air</strong>craft safety to be the result <strong>of</strong> their pr<strong>of</strong>essional skills.<br />

They feel responsible for safety. In the process <strong>of</strong> releasing an <strong>air</strong>craft back into service,<br />

some maintenance technicians even think that they sign <strong>of</strong>f for the safety <strong>of</strong> the <strong>air</strong>craft<br />

rather than (as required by regulation) for having followed prescribed procedures [Biemans<br />

et al 1998]. These procedures are specified in the operator’s maintenance program, which is<br />

normally based on instructions for continued <strong>air</strong>worthiness prepared by the manufacturer.<br />

The operator may rewrite the structure and format <strong>of</strong> these maintenance recommendations<br />

to better suit his operation. Once <strong>air</strong>craft enter service, the initial maintenance program is<br />

subject to continuous development and update as modifications, product improvements and<br />

operational feedback are incorporated. To evaluate the effectiveness <strong>of</strong> the maintenance<br />

program and to update it, operators develop a reliability program. The actions resulting<br />

from the reliability program may be to escalate, de-escalate, omit or add maintenance tasks.<br />

By proving to the authority for instance that increasing a servicing or inspection interval for<br />

a particular component does not adversely affect safety, the operator could save money in<br />

maintenance expenditures. The Alaska Airlines MD-83 accident in 2000 (see infobox) is an<br />

example <strong>of</strong> a case where inspection intervals were extended without the operator (Alaska<br />

Airlines) or the authority (FAA) being sufficiently aware <strong>of</strong> the safety implications.<br />

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